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Deficiency Records for Community Care On Palm

A list of the most recent deficiencies for Community Care On Palm. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Community Care On Palm. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-06-27 2024-07-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-27 2024-07-05 Y
Provide and implement an infection prevention and control program. Health 2024-04-24 2024-05-09 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-03-14 2024-04-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-03-14 2024-04-05 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2024-03-14 2024-04-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-03-14 2024-04-05 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-03-14 2024-04-05 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2024-03-14 2024-04-05 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-03-14 2024-04-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-03-14 2024-04-05 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2024-03-14 2024-04-05 N
Provide and implement an infection prevention and control program. Health 2024-03-14 2024-04-05 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2024-03-14 2024-04-05 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-03-14 2024-04-05 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-03-14 2024-04-05 Y
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-03-20 2024-03-27 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-02-09 2024-02-16 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-04 2024-01-14 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-04 2024-01-14 Y
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2024-01-04 2024-01-14 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2023-12-01 2023-12-14 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-11-28 2023-12-09 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-05-18 2023-06-03 Y
Respond appropriately to all alleged violations. Health 2023-05-18 2023-06-03 Y
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. Health 2023-05-18 2023-06-03 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-17 2023-05-31 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-17 2023-05-31 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-04-17 2023-04-27 Y
Provide and implement an infection prevention and control program. Health 2022-11-15 2022-12-09 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2022-08-17 2022-08-29 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-02-18 2022-03-23 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2022-02-18 2022-03-23 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2022-02-18 2022-03-23 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-02-18 2022-03-23 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-02-18 2022-03-23 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-02-18 2022-03-23 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2022-02-18 2022-03-23 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2022-02-18 2022-03-23 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2022-02-18 2022-03-23 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2022-02-18 2022-03-23 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-02-18 2022-03-23 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2022-02-18 2022-03-23 N
Dispose of garbage and refuse properly. Health 2022-02-18 2022-03-23 N
Provide and implement an infection prevention and control program. Health 2022-02-18 2022-03-23 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2022-03-08 2022-03-22 Y
Provide emergency officials' contact information. Fire Safety 2022-02-22 2022-03-08 N
Establish staff and initial training requirements. Fire Safety 2022-02-22 2022-03-08 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2022-02-22 2022-03-08 N
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Fire Safety 2022-02-22 2022-03-08 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-02-22 2022-03-08 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-01-18 2022-02-14 Y
Respond appropriately to all alleged violations. Health 2021-12-20 2022-02-03 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2021-12-20 2022-02-03 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-12-20 2022-02-03 Y
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2021-12-20 2022-02-03 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2021-12-20 2022-02-03 Y
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2021-12-20 2022-02-03 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-12-07 2021-12-27 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-12-07 2021-12-27 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-12-07 2021-12-27 Y
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2021-10-04 2021-11-01 Y
Establish staff and initial training requirements. Fire Safety 2019-12-30 2020-01-29 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-12-30 2020-01-29 N
Have proper medical gas storage and administration areas. Fire Safety 2019-12-30 2020-01-29 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-12-19 2020-01-09 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2019-12-19 2020-01-09 N
Ensure each resident receives an accurate assessment. Health 2019-12-19 2020-01-09 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2019-12-19 2020-01-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-12-19 2020-01-09 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-12-19 2020-01-09 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-12-19 2020-01-09 N
Provide and implement an infection prevention and control program. Health 2019-12-19 2020-01-09 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2019-12-19 2020-01-08 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-12-19 2020-01-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-12-19 2020-01-08 N
Dispose of garbage and refuse properly. Health 2019-12-19 2020-01-07 N

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